Impact of the Spanish Smoking Law on Exposure to Second-Hand Smoke and Respiratory Health in Hospitality Workers: A Cohort Study
2009

Impact of the Spanish Smoking Law on Hospitality Workers' Health

Sample size: 137 publication 10 minutes Evidence: moderate

Author Information

Author(s): Esteve Fernández, Marcela Fu, José A. Pascual, María J. López, Mónica Pérez-Ríos, Anna Schiaffino, Jose M. Martínez-Sánchez, Carles Ariza, Esteve Saltó, Manel Nebot

Primary Institution: Institut Català d'Oncologia

Hypothesis

The study aimed to evaluate the impact of the Spanish smoking law on second-hand smoke exposure and respiratory health among hospitality workers.

Conclusion

The partial smoking restrictions in Spanish hospitality venues do not adequately protect workers from second-hand smoke or its health effects.

Supporting Evidence

  • Salivary cotinine levels decreased by 55.6% among nonsmokers in venues where smoking was completely banned.
  • Respiratory symptoms declined significantly by 71.9% among workers in completely smoke-free venues.
  • No significant changes in cotinine levels were observed in venues with designated smoking areas or where smoking was allowed.

Takeaway

The study found that hospitality workers in Spain are still exposed to second-hand smoke even after a smoking ban, especially in venues where smoking is allowed.

Methodology

The study followed a cohort of hospitality workers in Spain, Portugal, and Andorra, measuring salivary cotinine levels and respiratory symptoms before and after the smoking ban.

Potential Biases

Potential bias due to self-reported data on exposure and respiratory symptoms.

Limitations

The study's findings may not be generalizable due to the specific context of the Spanish smoking law and the partial nature of the ban.

Participant Demographics

The cohort consisted of 137 nonsmoking hospitality workers, with a median age of approximately 39 years.

Statistical Information

P-Value

p<0.01

Confidence Interval

95% CI not specified

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0004244

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